top of page
UFC

Stigma & Barriers. The Hidden Obstacles to Behavioral Health Treatment.

Listen to this blog:




The path to seeking and receiving behavioral health treatment is often fraught with challenges. Among the most significant of these are stigma and various barriers that prevent individuals from accessing the care they need. Addressing these hidden obstacles is crucial to improving mental health and substance abuse treatment outcomes. At United Family Center, they are committed to breaking down these barriers and fostering a supportive environment for everyone seeking help.


Understanding Stigma

Stigma, a mark of disgrace associated with a particular circumstance, quality, or person, is a significant deterrent to seeking behavioral health treatment. This stigma can be internalized or external, manifesting in different ways that impact individuals and communities.

illustration of female character with mental struggle

Internal Stigma

Internal stigma occurs when individuals internalize negative beliefs and attitudes about themselves due to their mental health or substance use issues. This can lead to feelings of shame, guilt, and worthlessness, making it difficult for them to seek help.




illustration of woman whispering amongst each other

External Stigma

External stigma comes from societal attitudes and stereotypes about mental health and substance use disorders. People with these conditions may face discrimination in various areas of life, including employment, education, and social relationships. This discrimination can be overt, such as being denied a job opportunity, or subtle, such as receiving judgmental looks or comments. External stigma creates an environment where individuals feel unwelcome and unsupported, further discouraging them from seeking help.


Barriers to Accessing Behavioral Health Treatment

In addition to stigma, numerous barriers can hinder individuals from accessing behavioral health treatment. These barriers can be logistical, financial, or cultural and often intersect, creating compounded difficulties.


Logistical Barriers

  • Availability of Services: In many areas, especially rural regions, there is a shortage of mental health professionals and treatment facilities. This lack of resources means that individuals may have to travel long distances or wait extended periods to receive care.

  • Transportation: For those without reliable transportation, reaching treatment centers can be a significant challenge. This barrier is particularly pronounced in areas with limited public transportation options.

  • Time Constraints: Many individuals juggle multiple responsibilities, such as work, school, and family. Finding the time to attend therapy sessions or treatment programs can be daunting, especially if flexible scheduling is not available.


Financial Barriers

illustration of man with financial worries
  • Cost of Treatment: Behavioral health treatment can be expensive, and not all insurance plans provide adequate coverage. High out-of-pocket costs can deter individuals from seeking the care they need.

  • Insurance Limitations: Even with insurance, coverage for mental health and substance use treatment is often limited. High deductibles, copayments, and restrictions on the number of covered visits can all serve as financial barriers.


For instance, consider the case of someone who had health insurance but lost their job following a DUI incident. While they were initially covered, the loss of employment also meant the loss of their insurance. This individual found it incredibly challenging to access mental health and substance abuse treatment due to the financial strain. This example highlights the common challenge many face and underscores the need for comprehensive insurance coverage and affordable care to ensure that everyone can receive the help they need.


group of culturally diverse people conversing

Cultural Barriers

  • Cultural Competence: Lack of culturally competent care can prevent individuals from seeking or continuing treatment. Providers who do not understand or respect a patient's cultural background may inadvertently contribute to a sense of alienation and mistrust.


  • Language Barriers: For non-English speakers, finding providers who speak their language or offer translation services is critical. Language barriers can prevent effective communication and understanding, leading to suboptimal care.

  • Cultural Beliefs: In some cultures, mental health and substance use issues are heavily stigmatized, and seeking treatment may be viewed as a sign of weakness or failure. These cultural attitudes can discourage individuals from reaching out for help.


Breaking Down Stigma and Barriers

Addressing stigma and barriers requires a multifaceted approach involving education, policy changes, and community engagement. Here are some strategies to consider:


Education and Awareness

  1. Public Awareness Campaigns: Promoting mental health awareness through public campaigns can help change societal attitudes and reduce stigma. These campaigns can highlight personal stories of recovery, emphasizing that mental health issues are common and treatable.

  2. Training for Providers: Ensuring that healthcare providers receive training in cultural competence and stigma reduction can improve the quality of care. Providers who understand the cultural context of their patients can offer more effective and empathetic treatment.

  3. Community Education: Educating communities about mental health and substance use can help dispel myths and encourage supportive environments. Workshops, seminars, and support groups can provide valuable information and resources.

group of diverse people sharing information

Policy and Advocacy

  1. Insurance Reform: Advocating for better insurance coverage for behavioral health treatment is essential. Policies that eliminate disparities between physical and mental health coverage can make treatment more accessible and affordable.

  2. Expanding Services: Increasing funding for mental health services, particularly in underserved areas, can address the shortage of providers and facilities. Telehealth services can also expand access, especially for those in remote locations.

  3. Transportation Solutions: Implementing transportation assistance programs can help individuals reach treatment facilities. Partnerships with ride-sharing services or community transportation initiatives can make a significant difference.


Community Support

  1. Peer Support Programs: Peer support groups provide a safe space for individuals to share their experiences and receive encouragement from others who have faced similar challenges. These programs can be instrumental in reducing internal stigma and fostering a sense of community.

  2. Culturally Tailored Programs: Developing treatment programs that are culturally sensitive and linguistically appropriate can enhance engagement and effectiveness. Involving community leaders in program development can ensure that cultural nuances are respected and addressed.

illustration of adults in cultural training

Stigma and barriers are significant obstacles to behavioral health treatment, but they are not insurmountable. By understanding and addressing these challenges, we can create a more inclusive and supportive environment for everyone seeking help. United Family Center is dedicated to breaking down these barriers through education, advocacy, and culturally competent care.


Overcoming the stigma and barriers to seeking help is a life-changing journey. Many people, like those who have experienced a DUI incident and faced overwhelming shame, financial strain, and societal judgment, struggle to access the care they need. It's crucial to understand that stigma and barriers can affect anyone and that comprehensive support is essential for recovery.

As we continue our series of blog posts, we will delve deeper into the various aspects of behavioral health and DUI prevention. If you or someone you know is struggling with mental health or substance use issues, please reach out to United Family Center for support. Together, we can overcome stigma and barriers, paving the way for healthier and more fulfilling lives.

17 views

Recent Posts

See All
bottom of page